Individual
KIERA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
641 W 63RD ST, CHICAGO, IL 60621-2032
(773) 388-1600
Mailing address
3610 W LEXINGTON ST, CHICAGO, IL 60624-3638
(312) 401-2113
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209025087
IL
Other
Enumeration date
04/09/2022
Last updated
04/09/2022
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